Hematogenous neuroinvasion and genotype-dependent transmission of influenza A H5N1 viruses in the cat host

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Researchers investigated how H5N1 influenza viruses invade the nervous system and transmit between cats, finding that neuroinvasion and transmission varied based on the virus's genetic makeup.

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This study investigated how two genotypes of highly pathogenic avian influenza A (H5N1)—B3.13 and D1.1—infect cats, focusing on pathogenesis and transmission. Using infected cat models, the authors found high levels of viremia and consistent detection of virus shedding in nasal, oral, and fecal secretions, with initial replication in the upper respiratory tract and lungs followed by systemic spread and neuroinvasion. The virus crossed the blood-brain barrier by infecting endothelial cells and then progressed to astrocytes and neurons, producing multifocal encephalitis; a stated limitation is that genotype-dependent differences included protracted disease for D1.1 with lower shedding and no transmissibility, while B3.13 caused rapid disease with efficient shedding and transmission. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

The spillover of highly pathogenic avian influenza (HPAI) A H5N1 virus to mammalian hosts raises major concerns due to its pandemic potential. Cats are frequently affected mammals, often succumbing to systemic and neurological disease. Here, we characterized the pathogenesis and transmissibility of two H5N1 genotypes, B3.13 and D1.1, in cats. Infected cats exhibited high-level viremia and virus shedding in nasal, oral, and fecal secretions were consistently detected. The virus replicated initially in the upper respiratory tract and lungs, followed by systemic dissemination and neuroinvasion. Notably, the virus crossed the blood-brain-barrier by infecting endothelial cells, spreading to astrocytes and neurons, causing multifocal encephalitis. D1.1-virus infection caused protracted disease with lower shedding and no transmissibility, whereas B3.13 virus caused rapid onset with efficient shedding and transmission. These findings reveal critical H5N1 neuropathogenesis mechanisms and highlight mammalian transmission potential in a species with close human contact.
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Abstract The spillover of highly pathogenic avian influenza (HPAI) A H5N1 virus to mammalian hosts raises major concerns due to its pandemic potential. Cats are frequently affected mammals, often succumbing to systemic and neurological disease. Here, we characterized the pathogenesis and transmissibility of two H5N1 genotypes, B3.13 and D1.1, in cats. Infected cats exhibited high-level viremia and virus shedding in nasal, oral, and fecal secretions were consistently detected. The virus replicated initially in the upper respiratory tract and lungs, followed by systemic dissemination and neuroinvasion. Notably, the virus crossed the blood-brain-barrier by infecting endothelial cells, spreading to astrocytes and neurons, causing multifocal encephalitis. D1.1-virus infection caused protracted disease with lower shedding and no transmissibility, whereas B3.13 virus caused rapid onset with efficient shedding and transmission. These findings reveal critical H5N1 neuropathogenesis mechanisms and highlight mammalian transmission potential in a species with close human contact. Competing Interest Statement The authors have declared no competing interest.

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last seen: 2026-05-20T01:45:00.602351+00:00